| NPI | 1912849860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 005707) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 005707) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 005507) | |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-04-08 |